Greater Orlando Outpatient Center

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

GREATER ORLANDO OUTPATIENT CENTER

Practice address

100 N Dean Rd
Suite 101
Orlando, FL 32825-3710

Phone

(407) 963-0811

NPI assigned

Sep 16, 2013

Last updated

Sep 16, 2013By the provider in NPPES

Organization subpart

Yes

Parent organization

PRESTIGE ORTHOPEDICS, LLCAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Noemi Madera

Title

Clinical Administrator Assistant

Phone

(954) 532-6418

Specialties & licenses 2

Addresses

Tax ID family

Greater Orlando Outpatient Center2 organizations share this tax ID, including this one

Part of

Greater Orlando Outpatient Center

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Prestige Orthopedics

  dba White Sands Orthopedics

  • Orthopaedic Surgery Physician
  • Winter Park, FL
  • NPI 1033553557
  NPD tax ID

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Prestige Orthopedics

  dba White Sands Orthopedics

  • Orthopaedic Surgery Physician
  • Winter Park, FL
  • NPI 1033553557
  NPPES parent name

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1379289600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1379289600000",
    "number": "1316373863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1245 W FAIRBANKS AVE",
            "address_2": "SUITE 350",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327897111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 N DEAN RD",
            "address_2": "SUITE 101",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328253710",
            "telephone_number": "407-963-0811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREATER ORLANDO OUTPATIENT CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PRESTIGE ORTHOPEDICS, LLC",
        "enumeration_date": "2013-09-16",
        "last_updated": "2013-09-16",
        "status": "A",
        "authorized_official_last_name": "MADERA",
        "authorized_official_first_name": "NOEMI",
        "authorized_official_title_or_position": "CLINICAL ADMINISTRATOR ASSISTANT",
        "authorized_official_telephone_number": "954-532-6418"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John T Grbac, PSY D
• Vanja Grbic, MEDICAL TATTOO ARTIS
• Great Direct Care Inc
• Greater Orlando Health and Wellness Centers, LLC
• Greater Orlando Neursurgery and Spine
• Greater Orlando Psychiatric Associates, P.a.
• Greater Orlando Surgical Group, LLC
• Greater Tomorrow Counseling and Consulting Services/Cleane St Eloi
• Nicole Susan Greathouse
• Luz Denise Greaux

• Ambulatory Surgical Clinic/Center in Orlando, FL
• Providers in Orlando, FL by specialty
• Ambulatory Surgical Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.